Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lydia Koernianingsih DDS a Prof Corp

Organization Dentist · NPI 1922349521

Lydia Koernianingsih DDS a Prof Corp is a Dentist in Santa Ana, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1125 E 17th St Ste W234
Santa Ana, CA 92701-2228
Phone: (714) 558-4895
Fax: (714) 558-4896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 48488 (CA)

Record details

NPI number1922349521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lydia Koernianingsih — Dentist / Owner · (714) 558-4895
Other names Ldj Family Dentistry; Ldj Family Dentistry
NPI enumeratedMarch 6, 2013
Last updated in NPPESJanuary 24, 2020
Certification dateJanuary 24, 2020
Mailing address1125 E 17th St Ste W234, Santa Ana, CA 92701-2228

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